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Blood Test Measuring Clot Formation Time

New Jersey rates for HCPCS 85635

This blood test measures how long it takes a blood sample to clot after a specific clot-triggering substance is added to the sample. It's used to help evaluate bleeding or clotting problems by focusing on a particular step in the clotting process. It's a simple blood draw, often ordered alongside other clotting tests.

Rates data updated July 2026.

How much does Blood Test Measuring Clot Formation Time cost?

$11.75

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $11.75 for this service. The price depends on where it is billed: about $8.32 from a physician practice, and about $19.05 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$8.32$7.59 to $11.48
FacilityA hospital or hospital-owned outpatient department$19.05$12.59 to $54.95

How much rates vary

Facilitymedian $19 · 10th to 90th $8 to $135Professionalmedian $8 · 10th to 90th $7 to $19
$10.0$100.0$1.0K$10.0Kfacility $19professional $8

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$7.76
Median
$19.05
Typical High
$67.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$8.32
Typical High
$25.70
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$38.90
Typical High
$363.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$11.22
Median
$21.88
Typical High
$44.67
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$9.55
Typical High
$27.54
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$4.90
Typical High
$11.22
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$9.77
Median
$10,471.29
Typical High
$23,988.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$8.71
Typical High
$10.96
United
Setting
Facility
Modifier
Global
Typical Low
$4.68
Median
$9.77
Typical High
$21.38
United
Setting
Professional
Modifier
Global
Typical Low
$4.17
Median
$5.89
Typical High
$14.13

Where New Jersey sits

The same service costs 2.4 times more in Hawaii than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

New Jersey $11.75 · 16th of 51
HI $17.78DC $7.41

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.